Individual provider Active NPI

David C Durbin, MD

  • Internal Medicine Physician
  • Powell, TN
National Provider Identifier
1154366326
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25634 Issued in TN
Practice address
7744 Conner Road
Powell, TN 37849-3558
Phone
(865) 546-9751
NPI assigned
Jun 19, 2006
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25634 TN Primary

Addresses

Primary practice location

7744 Conner Road
Powell, TN 37849-3558

Mailing address

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747

Other identifiers 2

IdentifierTypeStateIssuer
110098568OtherTNRR MEDICARE PIN
3084218MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000239 TN Practitioner - Internal Medicine 9436237435 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25634TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Apr 1, 2020 Accepting new patients
University Health System, Inc CurrentSince Apr 1, 2020 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Oct 1, 1996 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Oct 1, 1996 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

1924 Alcoa Hwy
#U56
Knoxville, TN 37920
Phone (865) 305-9081

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

7744 Conner Rd
Powell, TN 37849
Phone (865) 546-9751

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1154366326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 CONNER ROAD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-546-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "110098568",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084218",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.